A nurse is caring for a client who has COPD. The nurse should identify the client is at
for which of the following acid-base imbalances?
Metabolic Acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
The Correct Answer is D
A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.
B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.
C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.
D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increased muscle tone of the bowel: Aging generally leads to decreased muscle tone and motility in the bowel, not increased. This option is incorrect.
B. Decreased pH of the stomach: Aging is associated with a decrease in gastric acid production, leading to a higher (less acidic) pH, not a lower (more acidic) pH. This option is incorrect.
C. Decreased intestinal peristalsis: Aging commonly results in decreased intestinal peristalsis, which can lead to constipation and other digestive issues. This option is correct.
D. Increased gastric acid production: Older adults typically experience decreased gastric acid production, not an increase. This option is incorrect.
Correct Answer is D
Explanation
A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.
B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.
C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.
D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.
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